The HIPAA compliant ChatGPT alternative your clinic actually needs
Stop worrying about shadow AI and six-figure enterprise contracts. Get the ChatGPT experience for your medical team on a private, secure server with a BAA and full data sovereignty.
Trusted by fast-moving teams
Why ChatGPT usually fails healthcare compliance
Most medical clinics start with a simple goal: let doctors use AI to summarize notes or research treatments. But standard ChatGPT accounts (Plus and Team) do not offer a Business Associate Agreement (BAA). Without a BAA, using ChatGPT for anything involving patient data is a direct HIPAA violation.
OpenAI does offer HIPAA compliance, but only for their Enterprise tier. That comes with a massive 150-seat minimum. For a 10-person clinic or a mid-sized practice, a $108K yearly commitment just to get a BAA is not a solution. It is a barrier.
Enter LibreChat
LibreChat is the open-source answer to this problem. It provides the exact interface your team already knows, but it connects to HIPAA-eligible APIs like Azure OpenAI or AWS Bedrock. You get the intelligence of GPT-4 without the data-sharing risks of consumer SaaS.
ChatGPT Enterprise vs. Managed LibreChat
Compare the cost and compliance of the official enterprise tool against our managed alternative.
Estimates based on current market data for ChatGPT Enterprise 150-seat minimums.
A private HIPAA compliant ChatGPT alternative
We host your instances on dedicated infrastructure designed for medical data sovereignty and flat-rate predictability.
Complete Data Sovereignty
Your data never trains public models. We deploy LibreChat on an isolated server instance where you own the database, the logs, and the encryption keys.
Built-in Audit Logging
HIPAA requires strict tracking of who accessed what data. LibreChat provides centralized logging of every prompt and response for your compliance officer.
BYO HIPAA APIs
Connect your BAA-covered Azure OpenAI or Bedrock API keys. One interface gives your team access to GPT-4, Claude, and Llama 3 securely.
Built for teams who need reliability
EUR 800 a year for tools that used to cost us multiples of that. We replaced HubSpot, Make.com, and our password manager with self-hosted apps on Opsily. One provider, one fee.
Franz Koller
Co-Founder · Joy
Shadow AI is the real risk
If you don't provide a safe way to use AI, your staff will use their personal ChatGPT accounts. Managed LibreChat stops data leaks by giving them a secure tool they actually want to use.
Start 7-Day Free TrialDeploy your secure AI in 3 steps
Choose Your App
Select an app to get started.
Select LibreChat
Find LibreChat in our app catalog and choose your preferred datacenter location.
Connect Your API
Plugin your HIPAA-compliant API keys from Azure or AWS. Your data stays within your compliance boundary.
Invite Your Team
Invite Your Team
Compliance that scales with you
No per-user fees for LibreChat. Choose a server plan that fits your clinic's volume.
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Need more resources or custom solutions?
Clinical-grade security
Optional BAA
Enterprise-tier customers can sign a Business Associate Agreement directly with Opsily.
Audit Logging
Maintain detailed logs required for HIPAA security rule compliance and internal audits.
Data Encryption
All data is encrypted at rest and in transit using industry-standard AES-256 and TLS 1.3.
Isolated Instances
No shared databases. Your medical data lives on its own dedicated virtual infrastructure.
Questions about HIPAA and LibreChat
LibreChat itself is a secure interface. When hosted on Opsily's isolated infrastructure and connected to a HIPAA-eligible provider like Azure OpenAI, it becomes a fully compliant alternative. Unlike consumer ChatGPT, this setup ensures your data is not used for training and remains under your control.
What our customers say
Teams across the EU run their stack on Opsily. Here is what that looks like in practice.
EUR 800 a year for tools that used to cost us multiples of that. We replaced HubSpot, Make.com, and our password manager with self-hosted apps on Opsily. One provider, one fee.
Franz Koller
Co-Founder • Joy
We were paying per user on everything and it added up fast. Now we run five apps for less than one of those old plans. My finance team finally stopped asking questions.
Elise
Head of Operations
Wanted to use n8n for ages but the self-host part always stopped me. Opsily just handled it. Got the power without becoming an IT person overnight.
Federica B.
Automation Consultant
Ready for a HIPAA compliant ChatGPT alternative?
Deploy your private AI instance in 3 minutes. No credit card required to start your trial.